| Anmol Chandock, DC | |
|
9755 76th St Ste 730, Pleasant Prairie, WI 53158-1925 | |
| (262) 455-9440 | |
| Not Available |
| Full Name | Anmol Chandock |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 9755 76th St Ste 730, Pleasant Prairie, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902479819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 5648-12 (Wisconsin) | Primary |
| Provider Name | Pri Chicago Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1639822737 PECOS PAC ID: 5496148223 Enrollment ID: O20220131001464 |
| Mailing Address | Practice Location Address |
|---|---|
| Anmol Chandock, DC 2625 Butterfield Rd Ste 301n, Oak Brook, IL 60523-1266 Ph: (630) 468-1824 | Anmol Chandock, DC 9755 76th St Ste 730, Pleasant Prairie, WI 53158-1925 Ph: (262) 455-9440 |
Mya Reese, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 12500 Aurora Dr, Pleasant Prairie, WI 53158 Phone: 262-857-5300 Fax: 262-857-5301 | |
Amanda Jean Wedlund, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 9755 76th St Ste 730, Pleasant Prairie, WI 53158 Phone: 262-455-9440 Fax: 630-468-1478 | |
Lorelle Katz, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 9755 76th St Ste 730, Pleasant Prairie, WI 53158 Phone: 913-944-2088 | |
Dr. Jeffrey T Malone, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 12500 Aurora Dr, Pleasant Prairie, WI 53158 Phone: 262-857-5000 |